Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $44.88 / $273.98	Facility		$44.88	$44.88	$273.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $52.58	Professional		$44.88	$44.88	$52.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $44.68 / $44.68	Professional		$44.47	$44.68	$44.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Facility		$44.88	$44.88	$44.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Professional		$44.88	$44.88	$44.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $68.06 / $138.52	Professional		$44.88	$68.06	$138.52
United Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $50.16 / $50.16	Professional		$50.16	$50.16	$50.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $61.75 / $3,000.00	Professional		$44.88	$61.75	$3,000.00